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The impact of proactive strategies on pregnancy healthcare during the COVID-19 epidemic.

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George Daskalakis, Marianna Theodora, Sofia Koura, Dimitrios Loutradis, Vasilios Pergialiotis

 

 

The emergence of the COVID-19 pandemic caused disruption of daily activities in almost every aspect of life1. Epidemiological reflexes were criticized by many as inadequate as the World Health Organization characterized COVID-19 as a pandemic two months after the initial reports of a cluster of cases of pneumonia in Wuhan2. In a national level governmental reflexes across the world varied significantly and countries that acted proactively effectively kept the prevalence of the disease in acceptable levels …

Diagnosis and management of Ogilvie’s Syndrome post Caesarean Section.

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Leah Hawkins, Sunny Ajayi

 

 

A 36-year-old woman presented to maternity unit two days post caesarean section (CS) with abdominal distension, pain and constipation. She was found to be septic on admission. Imaging demonstrated dilated bowel loops without an identifiable site of obstruction highlighting Ogilvie’s syndrome (OS) as the cause of her symptoms. Hospital acquired pneumonia (HAP) was identified as the source of infection with accompanying right sided lower lobe collapse. She was reviewed by multiple specialties to aid management …

A case of meconium peritonitis due to bowel perforation diagnosed at anomaly scan at 20 weeks.

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Prabha Sinha, Shabnum Sibtain, Hakmi Aoun

 

 

Meconium peritonitis is a rare condition in a fetus which occurs due to perforation of the bowel in the antenatal period. It has serious neonatal consequences resulting in death if the diagnosis is delayed soon after delivery. However, its detection is difficult as the presentation is very variable. A case of meconium peritonitis and pseudocyst detected in a fetus at 33 weeks and 2 days of gestation is discussed regarding its diagnosis and management…

High levels of ca125 in a patient with large uterine fibroid.

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Konstantinos Zacharis, Konstantinos Dafopoulos

 

 

Uterine leiomyomas, also known as uterine fibroids, are the most common benign tumors of the female genital tract and affect 60 to 80% of women at their reproductive age. Although elevated tumor markers may be measured in benign gynaecological diseases, the association of uterine fibroids with increased levels of serum cancer antigen 125 (CA125) has not been proven to date. In the present case report we present a rare case of a 21-year-old Caucasian woman attended to our outpatient department

Music as a mean to improve diagnostic accuracy of antenatal CTG

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Loutradis Dimitris

 

 
Maternal quality of life during the antenatal period is of crucial importance as pregnancy is one of the finest periods throughout the life of a woman. Antenatal testing and anticipation of the results may, however, be stressful for some women. Fetal cardiotocography is routinely performed during the third trimester of pregnancy in Greece, however, its results are not always unequivocal. It is believed that maternal anxiety may, partially, affect fetal heart rate and result in cardiotocographic alterations that can erroneously result in an unnecessary increase of cases of induced labor …
Posted in 2020 Volume 19 – Issue 3

Post Partum Hemorrhage – Mini Review

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Charalampos Voros, Kalliopi Pappa

 

 

Postpartum hemorrhage (PPH) is an obstetric emergency. It is one of the top causes of maternal mortality in both high and low income countries, although the absolute risk of death from PPH is much lower in high-income countries. Several risk factors predispose to the development of PPH including prolonged labor, precipitous labor, uterine distension. In 2017, the American College of Obstetricians and Gynecologists revised the definition of PPH to help guide its management. In the present mini-review we focus on specific medical and minimally invasive interventions, and surgical interventions at laparotomy…
Posted in 2020 Volume 19 – Issue 3 Tagged , ,

Study of RsaI polymorphism of the ERβ gene in Greek women with endometriosis

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Elli Anagnostou, Agathi Theodoropoulou, Despina Mavrogianni, Athanasios Protopapas, Peter Drakakis, Dimitrios Loutradis

 

 

Estrogens and estrogen receptors (ERs) play an important role in the pathogenesis of endometriosis. The aim of this study was to investigate the presence of gene polymorphism RsaI in the gene of the estrogen receptor ERβ in the Greek female population, and its distribution in women suffering from endometriosis and in a control group. We included 67 consecutive infertile women of Caucasian origin who were operated laparoscopically in our Gynecological Endoscopy Unit for endometriosis, and 96 women participated as control group…
Posted in 2020 Volume 19 – Issue 3 Tagged , , ,

Smoking during pregnancy was negatively associated with physical fitness in childhood

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Konstantinos D. Tambalis, Stamatis Mourtakos, Demosthenes D. Panagiotakos, Labros S. Sidossis

 

 
Background: To explore the potential relationship of several prenatal predictors with physical fitness (PF) components among children. Material and Methods: Α random sample of 5,125 dyads children (8 to 9 years old) and their mothers was evaluated. Mothers were asked to provide information contained in their medical booklets and pregnancy ultrasound records. With the use of a standardized questionnaire, telephone interviews were carried out for the collection of maternal factors in order to assess the potential association between several prenatal factors…
Posted in 2020 Volume 19 – Issue 3 Tagged , , ,

The Effect of music on maternal anxiety and maternal and fetal heart rate during cardiotocography

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Milona Gabriella, Pergialiotis Vasilios, Theodora Marianna, Loutradis Dimitrios, Daskalakis Georgios

 

 

Introduction: It is well known that music acts as an analgesic. Facilitates muscle relaxation, reduction of physical pain and mental tension. Purpose of this original investigation: study the effect of music on maternal anxiety during cardiotocography as well as its effect on embryonic cardiac function in relation to mother’s heart rate. Method and materials: The survey, conducted in external midwifery medical services of Alexandra’s Hospital, involved 80 pregnant women who met the criteria for participation. They were divided in two groups…
Posted in 2020 Volume 19 – Issue 3 Tagged , , , , ,

Imperforate hymen: a rare cause of tenesmus

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Konstantinos Zacharis, Stavros Kravvaritis, Eleni Chrysafopoulou, Theodoros Charitos, Anastasia Fouka.

 

 
Imperforate hymen is an uncommon obstructive anomaly of the female reproductive tract for which early diagnosis is easy to miss. Untreated cases after menarche may cause cyclic lower abdominal pain and amenorrhea. Hymenotomy is considered proper management in order to avoid complications associated with late treatment. We report a case of an imperforate hymen in a 13-year-old adolescent girl presenting with tenesmus and acute lower abdominal pain. The patient was treated with hymenotomy and postoperative period was uneventful…
Posted in 2020 Volume 19 – Issue 3 Tagged , , , ,